Also in Sexual Wellness
Sildenafil: the active ingredient in Viagra®
Sildenafil is an FDA-approved oral tablet for erectile dysfunction, prescribed online only if a licensed provider decides it is right for you. If prescribed, a licensed pharmacy dispenses your medication and ships it to you.
$110/month
$110 billed every month
Plan lengths
$110 billed every monthOne-month supply
Start my online visitPrescription only. A licensed provider decides.
Sildenafil is a long-established prescription treatment for erectile dysfunction (ED). With sexual stimulation, it can help you:
Get and keep an erection firm enough for sex.
It works when you're sexually aroused, so you stay in control of the moment.
Usually taken about an hour before sex, and it can be taken from 30 minutes to 4 hours ahead.
Prescribed for ED for more than 25 years.
Individual results vary. Benefits are not guaranteed and depend on your provider's evaluation and your plan.
Sildenafil tablets are FDA-approved to treat erectile dysfunction (ED). They are not indicated for use in women. Other sildenafil products are FDA-approved for a different condition, pulmonary arterial hypertension (high blood pressure in the lungs); they are separate medicines and must not be combined with sildenafil for ED.
Sildenafil belongs to a group of medicines called PDE5 inhibitors. During sexual arousal the body releases nitric oxide, which raises a natural messenger (cGMP) that relaxes muscle tissue in the penis so blood can flow in; sildenafil slows the breakdown of that messenger. It has no effect without sexual stimulation, and how well it works varies from person to person.
A licensed provider may consider sildenafil for adult men with erectile dysfunction after reviewing their heart health, blood pressure and current medicines. It is not for anyone who takes nitrates or riociguat, or for whom sexual activity is not advisable because of heart health. Your provider decides.
Answer questions about your health history, medications and goals. Submitting a visit does not guarantee a prescription.
A provider licensed in your state decides whether treatment is appropriate for you, or recommends a different path.
A licensed pharmacy dispenses your medication and ships it to your door. Follow-up continues through the patient portal.
Prices in US dollars. Self-pay; insurance is not required.
| Plan length | Per month | Billed at checkout | Supply |
|---|---|---|---|
| Single order | $110 once | $110 single payment, no renewal | One-month supply |
| Monthly | $110/mo | $110 billed every month | One-month supply |
Planned prices; the final amount is always shown at checkout before you pay. See the Terms of Service and Refund Policy.
Yes. Sildenafil tablets are FDA-approved to treat erectile dysfunction in men. You complete a secure online health assessment about your symptoms, heart health and medicines; a licensed provider reviews it, may ask follow-up questions, and decides whether sildenafil is appropriate. Completing the assessment does not mean you will receive a prescription. If it is prescribed, a licensed pharmacy dispenses an FDA-approved sildenafil product and ships it to you, and your provider sets the dose.
Not with nitrates. Taking sildenafil with any nitrate medicine, such as nitroglycerin, or with street drugs called “poppers” such as amyl nitrate, amyl nitrite or butyl nitrate, can lower blood pressure dangerously; the same applies to riociguat, a guanylate cyclase stimulator. Alpha-blockers and other blood-pressure medicines can add to the blood-pressure-lowering effect, so your provider needs to know every medicine you take. If you ever need emergency care for a heart problem, tell the care team when you last took sildenafil.
Get emergency medical help right away. An erection that lasts more than four hours, painful or not, is called priapism and needs urgent treatment; without prompt care it can permanently damage the penis. Before starting, tell your provider if you have a deformed penis shape or Peyronie's disease, or a condition that can make priapism more likely, such as sickle cell anemia, multiple myeloma or leukemia.
Sexual activity carries a heart risk for people with heart disease, so your provider reviews your heart health and blood pressure before prescribing. The label notes there is little safety information for men who have had a heart attack, stroke or life-threatening irregular heartbeat in the last six months, or who have very low or uncontrolled high blood pressure, heart failure or unstable angina. Heart attack, stroke and sudden cardiac death have been reported after marketing; whether sildenafil caused them is not known. Get medical help for chest pain.
Rarely, men taking PDE5 inhibitors have reported sudden loss of vision in one or both eyes, which may be a sign of an eye problem called NAION, or a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness. If either happens, stop taking sildenafil and get medical help right away. Tell your provider beforehand if you have ever had NAION, have retinitis pigmentosa, or have a “crowded” optic disc. Mild, temporary changes such as a color tinge to vision are more common.
The most common side effects are headache, flushing, upset stomach or indigestion, changes in vision such as a color tinge, blurring or sensitivity to light, stuffy nose, back pain, muscle aches, nausea, dizziness and rash. Most are mild to moderate and pass on their own. Tell your provider about any side effect that bothers you or does not go away, and call 911 in an emergency.
No. Sildenafil does not protect you or your partner from sexually transmitted diseases, including HIV. Condoms and other safer-sex practices are still important if you or a partner may be at risk. Your licensed provider can talk with you about prevention and testing options as part of your care.
Sildenafil tablets are FDA-approved to treat erectile dysfunction (ED). They are not indicated for use in women. Other sildenafil products are FDA-approved for a different condition, pulmonary arterial hypertension (high blood pressure in the lungs); they are separate medicines and must not be combined with sildenafil for ED.
Common side effects: headache, flushing, upset stomach or indigestion, changes in vision (a color tinge, blurring or sensitivity to light), stuffy nose, back pain, muscle aches, nausea, dizziness and rash. These are not all the possible side effects.
You may report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
Sildenafil is not indicated for use in women.
Sildenafil does not protect against sexually transmitted diseases, including HIV.
Do not combine sildenafil with other PDE5 inhibitors or other erectile dysfunction treatments, including sildenafil products approved for pulmonary arterial hypertension.
VIAGRA® is a registered trademark of Viatris Specialty LLC. Forever Health Rx is not affiliated with Viatris.
Prescription only. Sildenafil is available only after an online visit with a licensed provider, who determines whether treatment is appropriate for you. This summary does not replace the full prescribing information. Not medical advice. Results may vary.
Forever Health Rx does not provide emergency medical care. Call 911 or go to the nearest emergency department if you are experiencing a medical emergency. For urgent questions about a serious side effect, message your care team through the patient portal and seek in-person care if symptoms are severe.
About ten minutes. A licensed provider reviews your information and decides whether treatment is right for you.
Have a question before you start? Call our support team:
Prescription required. Eligibility is determined by a licensed provider. Not medical advice. Results may vary.
